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Organization

O'FALLON PHYSICIAN SERVICES, LLC

Active
Parent organization
CZVS HOLDING LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CZVS HOLDING LLC
Authorized official
DR. SEAN M TONER D.C. (MANAGER)
(618) 979-8660
Entity
Organization

Contact information

Practice address
1601 BRYAN RD, O FALLON, MO 63368-4815
(618) 979-8660
(636) 474-2272
Mailing address
3023 HIGHWAY K # 639, O FALLON, MO 63368-8696
(636) 474-2273
(636) 474-2272

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2007008417
MO

Other

Enumeration date
07/23/2007
Last updated
02/29/2008
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